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cardiology anesthesia anesthesiology workup intraoperative criticalcare treatment algorithm bradycardia cardiomyopathy causes peripartum airway aortic arrest artery bradi cardiacarrest chf clinical
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... consultation • Valve ... block (+/- daily EKG ... growth or worsening valve ... #diagnosis #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #Endocarditis #diagnosis ... #management #cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... 85% of predicted value ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Diagnosis Framework ... Endocarditis + ... /Valve surgery ... #cardiology #BRADI
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Decompensated CHF, Severe Valve ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Angiography or Cardiac ... PFO, ASD, h/o of cardiac ... surgery, endocarditis ... Artery #Embolism #diagnosis ... #differential #
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... reservoir bag and APL valve ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
breathing system valves ... • Check ECG rhythm ... CardiacArrest #Checklist ... #Differential # ... #Diagnosis #Management
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection • Aortic valve ... disease • Cardiac ... Pulse deficit/differential ... Aortic #Dissection #diagnosis ... #management #vascular
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